| Brown Medical Center, Inc. | |
|
1831 Forest Hills Blvd Suite 105 Cleveland OH 44112-4348 | |
| (216) 451-2030 | |
| (216) 451-2027 |
| Full Name | Brown Medical Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1831 Forest Hills Blvd, Cleveland, Ohio |
| Authorized Official Name and Position | Delorise Brown (PRESIDENT) |
| Authorized Official Contact | 2164512030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Medical Center, Inc. 1831 Forest Hills Blvd Suite 105 Cleveland OH 44112-4348 Ph: (216) 451-2030 | Brown Medical Center, Inc. 1831 Forest Hills Blvd Suite 105 Cleveland OH 44112-4348 Ph: (216) 451-2030 |
| NPI Number | 1619095049 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 11/03/2014 |
| Medicare PECOS PAC ID | 3072690486 |
|---|---|
| Medicare Enrollment ID | O20080409000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619095049 | NPI | - | NPPES |
| 000000168701 | Other | OH | ANTHEM GROUP PROVIDER ID |
| 50821 | Other | OH | QUALCHOICE PROVIDER ID |
| 587127472010 | Other | OH | MEDICAL MUTUAL OF OHIO ID |
| 716326 | Medicaid | OH | |
| R39059 | Other | OH | SUMMACARE PROVIDER ID |
| 366373800 | Other | OH | US DEPARTMENT OF LABOR ID |
| 350477 | Other | OH | WELLCARE HEALTH PLANS ID |
| 350477 | Medicaid | OH | |
| 0420315 | Medicaid | OH | |
| 366373800 | Other | OH | FEDERAL WORKERS COMP |
| Provider Name | Delorise Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023129079 PECOS PAC ID: 4284711698 Enrollment ID: I20080409000752 |
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